Active NPI
Robert Wesley Benson II, PT
- Physical Therapist
- El Paso, TX
National Provider Identifier
1689919342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1121648
- Practice address
- 7500 N Mesa St Ste 212
El Paso, TX 79912-3523 - Phone
- (915) 585-1888
- Fax
- (915) 585-1889
- NPI assigned
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1121648 | TX | Primary |
Addresses
Primary practice location
7500 N Mesa St Ste 212
El Paso, TX 79912-3523
Mailing address
4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600
Other practice location 1
8855 Viscount Blvd Ste E
El Paso, TX 79925-5812
Phone (915) 593-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121648 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tier 1 Physical Therapy and Sports Medicine PLLC | Physical Therapist | Current | Accepting new patients |
| Thomas K. Waugh & Associates, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
4849 N Mesa St
Ste 201
El Paso, TX 79912
7500 N Mesa St
Ste 212
El Paso, TX 79912
Phone (915) 585-1888
8855 Viscount Blvd
Ste E
El Paso, TX 79925
Phone (915) 593-8555
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- El Paso, TX
- NPI 1053674192
-
- Physical Therapist
- El Paso, TX
- NPI 1407956642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1689919342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 N MESA ST STE 201",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125919",
"telephone_number": "915-351-6600",
"fax_number": "915-351-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 N MESA ST STE 212",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123523",
"telephone_number": "915-585-1888",
"fax_number": "915-585-1889"
}
],
"practiceLocations": [
{
"address_1": "8855 Viscount Blvd Ste E",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799255812",
"country_code": "US",
"telephone_number": "915-593-8555",
"fax_number": "915-593-2422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "ROBERT",
"middle_name": "WESLEY",
"name_suffix": "II",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-06",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1121648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.